Individual
CAMERON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
100 WOODS RD, PMB #572, VALHALLA, NY 10595-1530
(917) 632-6814
Mailing address
100 WOODS RD, PMB #572, VALHALLA, NY 10595-1530
(917) 632-6814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
055460
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
055460
NY
Other
Enumeration date
06/03/2011
Last updated
10/02/2014
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